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Forensic Odontology Form

The Forensic Odontology Form is a document that is used to record information about a person's teeth. This information can be used to identify a person in a forensic investigation.

Time to complete

3 minutes

Eligibility

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Questions for Forensic Odontology Form

1.

What is your full name?

The answer should be a text input.
2.

What is your date of birth?

The answer should be a date input.
3.

What is your current address?

The answer should be a text input.
4.

What is your current phone number?

The answer should be a text input.
5.

What is your social security number?

The answer should be a text input.
6.

What is your driver's license number?

The answer should be a text input.
7.

What is your dental insurance provider?

The answer should be a text input.
8.

What is your dentist's name?

The answer should be a text input.
9.

What is your dentist's phone number?

The answer should be a text input.
10.

What is the name of your orthodontist?

The answer should be a text input.
11.

What is your orthodontist's phone number?

The answer should be a text input.
12.

Do you have any dental implants?

The answer should be a single choice:
  1. Yes
  2. No
13.

Do you have any bridges?

The answer should be a single choice:
  1. Yes
  2. No
14.

Do you have any crowns?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
15.

Do you have any dentures?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
16.

Do you have any fillings?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
17.

Do you have any veneers?

The answer should be a single choice:
  1. Yes
  2. No
  3. Unsure
18.

What is the highest level of education you have completed?

The answer should be a text input.
19.

What is your occupation?

The answer should be a text input.
20.

What is your employer's name?

The answer should be a text input.
21.

What is your employer's address?

The answer should be a text input.
22.

What is your work phone number?

The answer should be a phone number.
23.

What is your employer's email address?

The answer should be an email input.
24.

What are the names of your current medications?

The answer should be a text input.
25.

What is your medical history?

The answer should be a text input.
26.

Do you have any allergies?

The answer should be a single choice:
  1. Yes
  2. No
27.

Do you have any chronic medical conditions?

The answer should be a single choice:
  1. Yes
  2. No
28.

Do you have any mental health conditions?

The answer should be a single choice:
  1. Yes
  2. No

Similar Ideas

  • Dental Examination Record
  • Dental Identification Record
  • Dental Trauma Report
  • Dental Postmortem Report
  • Dental Prosthesis Report

Here are some FAQs and additional information
on Forensic Odontology Form

What is a forensic odontology form?

A forensic odontology form is a document used by forensic odontologists to record and store information related to their cases. This information can include the victim's dental records, the dentist's report, and other important details.

How is a forensic odontology form used?

A forensic odontology form is used to help identify victims of crime. The form can be used to compare the victim's dental records with those of the suspect. This comparison can help to identify the victim and possibly the perpetrator of the crime.

Who uses forensic odontology forms?

Forensic odontologists use these forms to store information related to their cases. This information can be used to help identify victims of crime and to compare the victim's dental records with those of the suspect.

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